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A Rare Form of Tricohbezoar: A Case of Rapunzel Syndrome

Year 2006, Volume: 13 Issue: 4, 283 - 285, 01.08.2006

Mustafa Ateş

Abstract

The Rapunzel syndrome consists of gastric trichobezoar with tail, epigastric mass and the gastrointestinal symptoms. A 12-year-old girl, underwent an operation for abdominal pain, nausea, vomiting, anemia and epigatsric mass, was presented in this study. Giant tricohobezoar with long tail was totally removed by laparotomy and single gastrotomy. Postoperative period was uneventful. A subsequent psychiatric consultation revealed trichotillomania and depression. Key words: Bezoar, Rapunzel syndrome, Trichotillomania, Trichophagia.

Keywords

Bezoar Rapunzel syndrome Trichotillomania Trichophagia.

References

  • Dalshaug GB, Wainer S, Hollaar GL. The rapunzel syndrome (trichobezoar) causing atypical intussusception in a child: a case report. Jpediatr Surg 1999;34:479-80
  • Escamilla C, Robles-Camplos R, Parrilla-Paricio P.Intestinal obstruction and bezoars. J Am Coll Surg 1994 ;43 :63-5
  • Balik E, Ulman I, Taneli C, Demircan M. The Rapunzel syndrome: a case report and review of the literature Eur J Pediatr Surg 1993;3:171-3
  • Vaughan ED Jr, Sawyers JL, Scott HW Jr. The Rapunzel syndrome. An Unusual complication of intestinal bezoar. Surgery 1968;63:339-43
  • Ventura DE, Herbella FAM, Schettini ST, Delmonte C.Rapunzel syndrome with a fatal outcome in a neglected child. J pediatr Surg 2005 ;40:1665-7
  • Frey AS, McKee M, King RA, Martin A. Hair apparent: Rapunzel syndrome Am J Psych 2005;162:242-6
  • Nirasawa Y, Mori T, Ito Y, Tanaka H, Seki N, Atomi Y: Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998; 33:663–5
  • Alsafwah S, Alzein M: Small bowel obstruction due to trichobezoar: role of upper endoscopy in diagnosis. Gastrointest Endosc 2000; 52:784–6
  • Miltenberger RG, Rapp JT, Long ES: Habit reversal treatment manual for trichotillomania, in Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders: Behavioral Approaches to Analysis and Treatment. Edited by Woods D, Miltenberger RG. Boston, Kluwer Academic, 2001, pp 170–95
  • O’Sullivan RL, Mansueto CS, Lerner EA, Miguel EC. Characterization of trichotillomania: a phenomenological model with clinical relevance to obsessive- compulsive spectrum disorders. Psychiatr Clin North Am 2000;587-604
  • Bouwer C, Stein DJ. Trichobezoars in trichotillomania:case report and lietrture overview. Psychosom Med 1998;60:658-60
  • McGehee FT, Buchanan GR. Trichophagia and trichobezoar: etiologic role of iron deficiency. J Pediatric 1980;Dec:946-8
  • Oski FA: The nonhemotologic manifestation of iron deficiency, Am J Dis Child 1973;133:315
  • Eryılmaz R, Sahin M, Alimoğlu O, Yıldız MK, A case of Rapunzel syndrome. Ulus Travma Derg, 2004; 10:260-3
  • Babl FE, Hyams JS, Justinich CJ. Index of suspiction. Case 3. Diagnosis: trichobezoar. Pediatr Rev 1996;17:99-101
  • Goldstein SS,Lewis JH, Rothstein R. Intestinal obstruction due to bezoars. Am J Gastroentrol 1984;79:313-8
  • Malpani A, Ramani SK, Wolverson MK: Role of sonography in trichobezoars. J Ultrasound Med 1988; 7:661–663
  • Ripolles T, Garcia-AguayoJ, MartinezMJ, Gil P. Gastroentestinal bezoars : sonographic and characteristics. Am J Roentgenol 2001;177:65-7
  • De Backer A, Van Nooten V, Vandenplas Y: Huge gastric trichobezoar in a 10-year- old girl: case report with emphasis on endoscopy in diagnosis and therapy. J Pediatr Gastroenterol Nutr 1999; 28:513–5
  • Memon SA, Mandahan P, Quresh JN, Shairani AJ. Recurrent Rapuzel syndrome-a case report. Med Sci Monit 2003 ;9:92-4

Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu

Year 2006, Volume: 13 Issue: 4, 283 - 285, 01.08.2006

Mustafa Ateş

Abstract

Rapunzel sendromu, dürtüsel saç çekme ve yeme alışkanlığı nedeni ile midede oluşan trikobezoarın duodenum ve jejunuma uzanması ile birlikte karında kitle ve gastrointestinal semptomların görüldüğü nadir bir durumdur. Bu yazıda, bulantı, kusma, karın ağrısı, anemi ve epigastrik kitle nedeni ile opere edilen, 12 yaşındaki bir kız hasta sunuldu. Laparotomide, anterior gastrotomi yapılarak dev trikobezoar ve uzun kuyruğu tamamen çıkarıldı. Ameliyat sonrası dönemde sorunsuz iyileşen hastada, psikiyatrik değerlendirmede, dürtüsel saç çekme (trikotillomani) ve depresyon olduğu tespit edildi. Anahtar kelimeler: Bezoar, Rapunzel sendromu, Trikotillomania, Trikofaji.

Keywords

Bezoar Rapunzel sendromu Trikotillomania Trikofaji.

References

  • Dalshaug GB, Wainer S, Hollaar GL. The rapunzel syndrome (trichobezoar) causing atypical intussusception in a child: a case report. Jpediatr Surg 1999;34:479-80
  • Escamilla C, Robles-Camplos R, Parrilla-Paricio P.Intestinal obstruction and bezoars. J Am Coll Surg 1994 ;43 :63-5
  • Balik E, Ulman I, Taneli C, Demircan M. The Rapunzel syndrome: a case report and review of the literature Eur J Pediatr Surg 1993;3:171-3
  • Vaughan ED Jr, Sawyers JL, Scott HW Jr. The Rapunzel syndrome. An Unusual complication of intestinal bezoar. Surgery 1968;63:339-43
  • Ventura DE, Herbella FAM, Schettini ST, Delmonte C.Rapunzel syndrome with a fatal outcome in a neglected child. J pediatr Surg 2005 ;40:1665-7
  • Frey AS, McKee M, King RA, Martin A. Hair apparent: Rapunzel syndrome Am J Psych 2005;162:242-6
  • Nirasawa Y, Mori T, Ito Y, Tanaka H, Seki N, Atomi Y: Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg 1998; 33:663–5
  • Alsafwah S, Alzein M: Small bowel obstruction due to trichobezoar: role of upper endoscopy in diagnosis. Gastrointest Endosc 2000; 52:784–6
  • Miltenberger RG, Rapp JT, Long ES: Habit reversal treatment manual for trichotillomania, in Tic Disorders, Trichotillomania, and Other Repetitive Behavior Disorders: Behavioral Approaches to Analysis and Treatment. Edited by Woods D, Miltenberger RG. Boston, Kluwer Academic, 2001, pp 170–95
  • O’Sullivan RL, Mansueto CS, Lerner EA, Miguel EC. Characterization of trichotillomania: a phenomenological model with clinical relevance to obsessive- compulsive spectrum disorders. Psychiatr Clin North Am 2000;587-604
  • Bouwer C, Stein DJ. Trichobezoars in trichotillomania:case report and lietrture overview. Psychosom Med 1998;60:658-60
  • McGehee FT, Buchanan GR. Trichophagia and trichobezoar: etiologic role of iron deficiency. J Pediatric 1980;Dec:946-8
  • Oski FA: The nonhemotologic manifestation of iron deficiency, Am J Dis Child 1973;133:315
  • Eryılmaz R, Sahin M, Alimoğlu O, Yıldız MK, A case of Rapunzel syndrome. Ulus Travma Derg, 2004; 10:260-3
  • Babl FE, Hyams JS, Justinich CJ. Index of suspiction. Case 3. Diagnosis: trichobezoar. Pediatr Rev 1996;17:99-101
  • Goldstein SS,Lewis JH, Rothstein R. Intestinal obstruction due to bezoars. Am J Gastroentrol 1984;79:313-8
  • Malpani A, Ramani SK, Wolverson MK: Role of sonography in trichobezoars. J Ultrasound Med 1988; 7:661–663
  • Ripolles T, Garcia-AguayoJ, MartinezMJ, Gil P. Gastroentestinal bezoars : sonographic and characteristics. Am J Roentgenol 2001;177:65-7
  • De Backer A, Van Nooten V, Vandenplas Y: Huge gastric trichobezoar in a 10-year- old girl: case report with emphasis on endoscopy in diagnosis and therapy. J Pediatr Gastroenterol Nutr 1999; 28:513–5
  • Memon SA, Mandahan P, Quresh JN, Shairani AJ. Recurrent Rapuzel syndrome-a case report. Med Sci Monit 2003 ;9:92-4
There are 20 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Mustafa Ateş This is me

Publication Date August 1, 2006
Published in Issue Year 2006 Volume: 13 Issue: 4

Cite

APA Ateş, M. (2006). Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu. Journal of Turgut Ozal Medical Center, 13(4), 283-285.
AMA Ateş M. Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu. J Turgut Ozal Med Cent. August 2006;13(4):283-285.
Chicago Ateş, Mustafa. “Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu”. Journal of Turgut Ozal Medical Center 13, no. 4 (August 2006): 283-85.
EndNote Ateş M (August 1, 2006) Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu. Journal of Turgut Ozal Medical Center 13 4 283–285.
IEEE M. Ateş, “Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu”, J Turgut Ozal Med Cent, vol. 13, no. 4, pp. 283–285, 2006.
ISNAD Ateş, Mustafa. “Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu”. Journal of Turgut Ozal Medical Center 13/4 (August 2006), 283-285.
JAMA Ateş M. Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu. J Turgut Ozal Med Cent. 2006;13:283–285.
MLA Ateş, Mustafa. “Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu”. Journal of Turgut Ozal Medical Center, vol. 13, no. 4, 2006, pp. 283-5.
Vancouver Ateş M. Trikobezoarın Nadir Bir Formu: Rapunzel Sendromu Olgu Sunumu. J Turgut Ozal Med Cent. 2006;13(4):283-5.